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1164795449
GRADEN PROVISION OF PROMISE OUTREACH ORG
SAGINAW, MI
NPI
1164795449
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Entity Type
Organization
Authorized Contact
WILLIE WALTER SMITH
CEO
989-753-5477
Organization Subpart ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-02-16
Last Update Date
2012-02-16
Business Address
GRADEN PROVISION OF PROMISE OUTREACH ORG
2421 SHERIDAN AVE
SAGINAW, MI 48601-3613
Phone number: 989-753-5477
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Mailing Address
GRADEN PROVISION OF PROMISE OUTREACH ORG
2421 SHERIDAN AVE
SAGINAW, MI 48601-3613
Phone number: 989-753-5477
Copy
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